(MINNEAPOLIS/ST. PAUL) June 19, 2013 - New research out of the University of Minnesota identifies significant risk factors for suicidal behavior in youth being bullied, but also identifies protective factors for the same group of children.

The article, "Suicidal Thinking and Behavior Among Youth Involved in Verbal and Social Bullying: Risk and Protective Factors" is being published in a special supplemental issue of the Journal of Adolescent Health. The supplement identifies bullying as a clear public health issue, calling for more preventative research and action.

Authors of this article included: Iris Borowsky, M.D., Ph.D., associate professor of pediatrics in the University of Minnesota Medical School, Barbara McMorris, Ph.D., associate professor of population health in the University of Minnesota School of Nursing, and Lindsay Taliaferro, Ph.D., M.P.H., a public health expert trained as a postdoctoral fellow at the University of Minnesota Medical School and now on faculty at the University of Missouri.

In their analysis, the researchers utilized data from the Minnesota Student Survey, which looked at incidences of social and verbal bullying. The survey did not ask about physical or electronic bullying. Analysis showed over half of students in grades 6, 9, and 12 reported being involved in bullying, either as the victim or the bully. Involvement in bullying was also strongly linked to suicidal ideation or attempts.

"Given that many students are involved in bullying, and bullying involvement is strongly associated with thinking about or attempting suicide, we wanted to find ways to identify who was most at risk for these negative outcomes, and how we can foster protection for them," said Borowsky.

The analysis showed clear risk factors for suicidal thinking and behavior among young people involved in bullying. Among them: self injury, such as cutting, emotional distress, running away, and previous trauma in childhood, such as physical or sexual abuse.

However, there were also experiences that created a protective environment for these young people. Researchers identified strong, positive parental connections as the most powerful protective factor against suicidal ideation and attempt.

"Perceived caring from parents, friends, and other adults in your community, including relatives and religious leaders, were all significant protective factors for these young people at high risk for suicidality," said Borowsky. And for victims of bullying, liking school was also protective.

These protective factors hold promise for preventing suicidal behavior and decreasing bullying. Borowsky and her co-authors suggest family strengthening interventions and linking youth with psychosocial problems to mental health resources.

It will also be important to identify victims and bullies so parents, teachers, and counselors can screen for risk and protective factors in these youth who are already at increased risk for suicidality. The goal would be reaching the most at-risk youth as soon as possible, to provide effective resources and support.

Borowsky and other researchers provided input to expand questions on bullying on the Minnesota Student Survey to include items about physical and electronic bullying. This will help researchers, administrators, legislators and other community members understand the full scope of the bullying issue.

More research is certainly warranted. Borowsky shares the view of federal agencies that call bullying a public health concern in this journal supplement.

"Bullying is not a normative behavior for children and adolescents. It is associated with serious psychosocial problems, including suicidal behavior, and thus requires prevention, recognition, and intervention," said Borowsky.

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The University of Minnesota Medical School, with its two campuses in the Twin Cities and Duluth, is a leading educator of the next generation of physicians. Our graduates and the school's 3,800 faculty physicians and scientists advance patient care, discover biomedical research breakthroughs with more than $180 million in sponsored research annually, and enhance health through world-class patient care for the state of Minnesota and beyond. Visit http://www.med.umn.edu to learn more.

The University of Minnesota School of Nursing is ranked among the nation's top nursing schools. It is a leader in nursing research and has a combined undergraduate and graduate enrollment of approximately 850 students. The school produces 55 percent of the faculty in Minnesota's public and private nursing schools, advanced practice nurses and nurses who can assume leadership positions. It is the oldest continuously-operated, university-based school of nursing. The School of Nursing is one of six schools and colleges in the Academic Health Center, one of the most comprehensive facilities for health professionals in the nation, fostering interdisciplinary study, research and education. For more information, visit http://www.nursing.umn.edu.

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